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General NPI Number Information
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NPI Number | 1992194567
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Entity Type | Individual
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Provider Name | VIVIAN OBIAGERI ORIZU MPH
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Gender | Female
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 160 NW 176TH ST STE 302-3
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City | MIAMI
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State | FL
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Zip | 33169-5021
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Country | US
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Telephone | 305-305-3545
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Fax | 954-435-2363
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Provider Business Mailing Address
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Address Line | 160 NW 176TH ST STE 302-3
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City | MIAMI
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State | FL
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Zip | 33169
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Country | US
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Telephone | 305-305-3545
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | FL
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